FDA Adverse Event Death Summary report: N

BAXTER 1550

MDR report key: 382994 · Received February 26, 2002

Report

Report Number
382994
Event Type
Death
Date Received
February 26, 2002
Date of Event
January 30, 2002
Manufacturer
BAXTER HEALTHCARE CORP
Product Code
FKP
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

ALARM ANSWERED BY R.N. - TROUBLESHOOTING DONE BY R.N. PT BECAME UNRESPONSIVE. PT WAS PLACED IN TRENDELENBURG. NO PULSE, PALPATION OR RESPIRATIONS. CPR INITIATED AND 911 CALLED. TRANSPORTED TO HOSPITAL ER, WHERE PT EXPIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BAXTER 1550 DIALYSIS MACHINE FKP BAXTER HEALTHCARE CORP BAXTER 1550 NA

Patients

Seq Age Sex Outcome Treatment
1 48 YR Death FMC COMBISET BLOODLINES, BAXTER 1550 MACHINE FOR| DIALYSIS.